Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.64 / $70.56 / $205.35	Facility		$19.64	$70.56	$205.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.20 / $25.98 / $32.92	Professional		$15.20	$25.98	$32.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.89 / $12.60 / $12.60	Professional		$10.89	$12.60	$12.60
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $42.57 / $155.06 / $821.40	Facility		$42.57	$155.06	$821.40
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $13.61 / $27.47 / $42.00	Professional		$13.61	$27.47	$42.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.68 / $39.70 / $83.12	Facility		$12.68	$39.70	$83.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.60 / $14.84 / $25.81	Professional		$11.60	$14.84	$25.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.34 / $10.70 / $18.14	Professional		$8.34	$10.70	$18.14
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.70 / $8,702.00 / $13,785.00	Facility		$12.70	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.70 / $12.70 / $17.42	Professional		$12.70	$12.70	$17.42
United Facility/Professional Professional Modifier Low / Median / High Price $7.02 / $10.88 / $25.35	Professional		$7.02	$10.88	$25.35